Active NPI
Leaann Roth
- Social Worker
- Town & Country, MO
National Provider Identifier
1235678186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2016012309
- Practice address
- 12112 Clayton Rd
Town & Country, MO 63131 - Phone
- (314) 989-8722
- NPI assigned
- Feb 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2016012309 | MO | Primary |
Addresses
Primary practice location
12112 Clayton Rd
Town & Country, MO 63131
Mailing address
1414 Cathy LN
Festus, MO 63028-4335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016012309 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1235678186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 CATHY LN",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12112 CLAYTON RD",
"city": "TOWN & COUNTRY",
"state": "MO",
"postal_code": "63131",
"telephone_number": "314-989-8722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "LEAANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2016012309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Town & Country, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.